Medical Transcription Billing Company Pvt Ltd. Islamabad

Information Security & HIPAA Security Awareness Training
Acknowledgment Form (5.2.2-lSHSTA/EM01)

This is to certify that you have received MTBC's Information Security, HIPAA & HITECH Training. By signing the Information Security & HIPAA training Acknowledgment, you have agreed to comply with HIPAA & HITECH Rules and MTBC's policies and procedures established under these Rules and Standards. You have also agreed to safeguard the Information including Protected Health Information, which comes into your possession during the course of employment, in accordance with MTBC's established policies & procedures. You have fully understood the risks associated with the Protected Health Information (PHI), which comes into your possession during the course of your association with MTBC, in accordance with MTBC's established policies & procedures. You are able to identify and respond to security risks pursuant to the company's written security plan. If at any time your awareness of security issues becomes unclear or insufficient, You will seek clarification from the company's designated Information Security Manager (ISM), HIPAA Compliance Officer, HIPAA Security & Privacy Officer and Head of Compliance Department. You have also understood that upon request, MTBC will provide you with the additional training necessary to correct your level of awareness. You have understood that MTBC's written security plan is binding company policy that you must follow at all times and that any breach of the company’s security procedures may result in termination of employment.

This Acknowledgment is not an assurance of continued employment or association with MTBC.

General Instructions

All requestors (employees/non-employees) requesting access to PHI (Protected Health Information) must undergo "HIPAA & HITECH Training" priör to accessing PHI (Protected Health Information).

Locking or logging off(or powering off) my assigned workstation when I leave my work area.